MARC record from Internet Archive

LEADER: 02688nam 2200313Ia 4500
001 844094410
008 130522s1996 vaua rb f000 0 eng d
035 $a(OCoLC)844094410
040 $aHEC$cHEC
041 0 $aeng
043 $an-us---
049 $aHECA
050 4 $aRA410.53$b.W75 1996a
100 1 $aWrightson, Charles William.
245 10 $aActuarial methods for improving HCFA payments to risk HMOs :$bappendices to final report, April 12, 1996 /$cauthors: C. William Wrightson, et. al.
260 $a[Annandale, VA :$bActuarial Research Corporation,$c1996.]
300 $a1 v. (various pagings) :$bill. (table) ;$c28 cm.
505 0 $aAppendix A. Development of thresholds for outlier pools in 1995 alternative payment demonstration / prepared for Health Care Financing Administration, Actuarial Research Corporation... September 1994 -- Appendix B. [Re: Analysis of the cost of reinsurance options for the medicare choices demonstration, September 12, 1995 -- Appendix C. Experience-rated questionnaire for 1996 rates.
513 $aFinal report ;$b1996.
520 $a"Four alternative payment methods were tested as alternatives to the Adjusted Average Per Capita Cost (AAPCC) : reinsurance, select and ultimate rates, partial capitation and blended rates, and experience rating. using data from the Continuous Medicare History Sample (CMHS) and from one HMO, the study concluded that there are a range of methods than can improve payment to HMOs. Specifically, partial capitation and blended rates were effective in limiting the financial risk incurred by plans. Reinsurance models protected against catastrophic costs incurred by plans while the rate adjustments used in select and ultimate rates can mitigate against severe selection effects. Finally, experience rating did not accurately predict future costs for Medicare beneficiaries. However, each method used in this study represented improvements over the current AAPCC."-- NTIS report documentation page.
530 $aAvailable at cost as a print-on-demand technical report ;$bNational Technical Information Service ;$dPB97-126841.
533 $aPhotocopy.$bSpringfield, VA. :$cDept. of Commerce, National Technical Information Service,$d[1996].$e28 cm.
536 $aPrepared for: Department of Health & Human Services, Health Care Financing Administration ;$bCooperative agreement no. 17-C-90033/3.
650 0 $aMedicare$xEstimates$xMathematical models.
650 0 $aMedicare$xCosts.
650 0 $aHealth maintenance organizations$zUnited States$xCosts.
710 2 $aActuarial Research Corporation.
710 1 $aUnited States.$bHealth Care Financing Administration.
913 $azai ls 05/22/2013 for cms